Advice in Case of Gastrointestinal Disturbances. While you can stop this medication at anytime, you might want to consider seeing your provider for a pre-pregnancy checkup before stopping your birth control. Discontinue Portia prior to starting therapy with the combination drug regimen ombitasvir/paritaprevir/ritonavir, with or without dasabuvir (see CONTRAINDICATIONS). I was prescribed levora but it was filled as portia from the beginning. The dosage of drugs that can be affected by this interaction may need to be increased. Portia is contraindicated in females with acute viral hepatitis or severe (decompensated) cirrhosis of liver (see CONTRAINDICATIONS). Portia is dispensed in a blister card containing 28 tablets (see HOW SUPPLIED). Tell your healthcare provider about all the medicines you take, changes in the sugar and fat (cholesterol and triglycerides) levels in your blood, new or worsening headaches, including migraine headaches. This is more common during the first 3 months of using Portia. The dose of replacement thyroid hormone or cortisol therapy may need to be increased. Watch our video explaininggenerics vs. brand birth control pills. Works better to prevent pregnancy compared to some other birth control methods, Pills are in an easy-to-follow blister pack, Higher amounts of hormones compared to some other birth control pills, Not a good option for females over 35 who smoke, Can cause unpleasant side effects like nausea, vomiting, and headaches, Doesn't protect against sexually transmitted diseases (STDs), Must take it at the same time every day for it to work well. are pregnant or think you may be pregnant, are depressed now or have been depressed in the past, had yellowing of your skin or eyes (jaundice) caused by pregnancy (cholestasis of pregnancy). Too much sebum can lead to clogged pores, which create breeding grounds for acne. Study results are mixed, but there's a possibility that Portia and other COCs can raise your risk for breast and cervical cancer. Additional comment actions. This risk increases with age, particularly in women over 35 years of age, and with the number of cigarettes smoked. Use of COCs may also worsen existing gallbladder disease. Along with its needed effects, a medicine may cause some unwanted effects. Buy Portia birth control pills to avoid pregnancy. Like pregnancy, Portia may cause serious side effects, including blood clots in your lungs, heart attack, or a stroke that may lead to death. Before starting Portia, discuss your full medical history with your provider. take any Hepatitis C drug combination containing ombitasvir/paritaprevir/ritonavir, with or without dasabuvir. This should get better over time, but if it doesn't contact your provider. This Patient Information and Instructions for Use have been approved by the U.S. Food and Drug Administration. blog posthere. Their provider should evaluate them to make sure they get a safe option. Portia is contraindicated in females with a high risk of arterial or venous thrombotic/thromboembolic diseases (see. In addition to these changes, some women experience more . When the pills run out, start a new pack the following day. Do not start until 4 weeks after a second-trimester abortion or miscarriage, due to the increased risk of thromboembolic disease. Some examples are chloasma (a condition that causes dark skin patches) and, levonorgestrel / ethinyl estradiol (generic), 3 packages (28 tablets) of portia 0.15mg/0.03mg. You do not need to use a back-up birth control method if you have sex. What should I do if I miss any Portia pills? Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. This reduction can occur at any time but is less likely to occur once breast-feeding is well-established. The use of the Truven Health products is at your sole risk. The attributable risk of liver cancers in COC users is less than one case per million users. 3) A third difference is you typically get your period monthly while taking Portia, while you typically get it once every 3 months or not all all as with the continuous and extended-cycle birth control pills. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Mirena is a hormonal intrauterine device (IUD) that can provide long-term birth control (contraception). This is less likely to occur if breastfeeding is well established [see, Counsel any patient who starts Portia postpartum, and who has not yet had a period, to use an additional method of contraception until she has taken a pink tablet for 7 consecutive days (see, Counsel patients that amenorrhea may occur. The risks are very low, but some women have experienced unwanted side effects when taking Portia. If you choose the Sunday Start method, you'd begin taking Portia on the Sunday after your period starts (even if you're still bleeding). Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. For more information, call 1-888-838-2872. 4.1 Effects of Other Drugs on Combined Oral Contraceptives. There may be slight increases in the risk of breast cancer among current users of hormonal birth control pills with longer duration of use of 8 years or more. Stop Portia if an arterial or venous thrombotic/thromboembolic event occurs. Additional comment actions. This product is used to prevent pregnancy.Besides preventing pregnancy, birth control pills may make your periods more regular, decrease blood loss and painful periods, and decrease your risk. My boobs feel like someone used them as a punching bag everyday for 7 weeks. Let your provider know if you experience symptoms of depression or worsening depression while taking Portia. Speak to your provider about the best option for you. How to use. If you are taking birth . Examples include women who are known to: Smoke, if over age 35 [see BOXED WARNING and WARNINGS (1) ]. There are other causes besides your birth control pills for irregular bleeding that your provider will evaluate. restart the same or different birth control pills after not using them for a month or more, a sudden, severe headache unlike your usual headaches. It is important to continue taking your pills on a regular schedule to prevent a pregnancy. In addition to the symptoms of hyperprolactinemia, you may experience the following symptoms if you have a prolactinoma: Headaches. For most women, more problems occur because of pregnancy than will occur from taking oral contraceptives. Females using Portia may experience unscheduled (breakthrough or intracyclic) bleeding and spotting, especially during the first three months of use. To report SUSPECTED ADVERSE EVENTS, contact Teva at 1-888-838-2872 or FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch for voluntary reporting of adverse reactions. Portia is not recommended for use in lactating women (see, If the woman has not yet had a period postpartum, consider the possibility of ovulation and conception occurring prior to use of Portia (see, If one active tablet is missed in Weeks 1, 2, or 3, If two active tablets are missed in Week 1 or Week 2, If two active tablets are missed in the third week or three or more active tablets are missed in a row in Weeks 1, 2, or 3, had blood clots in your arms, legs, lungs, or eyes, had a problem with your blood that makes it clot more than normal, have certain heart valve problems or irregular heart beat, have high blood pressure that cannot be controlled by medicine, have diabetes with kidney, eye, nerve, or blood vessel damage, have certain kinds of severe migraine headaches with aura, numbness, weakness or changes in vision, or any migraine headaches if you are over 35 years of age, had breast cancer or any cancer that is sensitive to female hormones, have liver problems, including liver tumors. The failure rate may increase when pills are missed or taken incorrectly. While Portia shouldn't cause any birth defects if you accidentally take it during early pregnancy, you'll no longer need to take it when you're pregnant. Take one pill every day, no more than 24 hours apart. Start taking Portia on the day of removal of your IUD or IUS. The hormones in Portia work by preventing ovulation and thickening cervical mucus, which makes it more difficult for sperm to enter the cervix. Portia is available as a generic medication and may be significantly cheaper compared to the brand version. Aprepitant, barbiturates, bosentan, carbamazepine, efavirenz, felbamate, griseofulvin, oxcarbazepine, phenytoin, rifampin, rifabutin, rufinamide, topiramate, products containing St. Johns worta, and certain protease inhibitors (see separate section on protease inhibitors below). Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Although not all of these side effects may occur, if they do occur they may need medical attention.The following side effects may be caused by blood clots. A past history of COC-related cholestasis predicts an increased risk with subsequent COC use. The inactive/placebo/bleeding week pills are there to help you in the habit of taking your pill every day. While the increased risk of VTE associated with use of COCs is well-established, the rates of VTE are even greater during pregnancy, and especially during the postpartum period (see Figure 1). The risk for cardiovascular disease and prevalence of risk factors for cardiovascular disease increase with age. Some progestogens may elevate LDL levels and may render the control of hyperlipidemias more difficult [see WARNINGS (7)]. Fully authorized pharmacy. Instruct patients about the handling of missed doses (e.g., to take single missed pills as soon as possible) and to follow the dosing instructions provided in the FDA-approved patient labeling. swelling of your skin especially around your mouth, eyes, and in your throat (angioedema). COCs like Portia might raise your blood sugar and triglyceride (fat) levels. WARNING: CIGARETTE SMOKING AND SERIOUS CARDIOVASCULAR EVENTS. Additional nonhormonal contraception (such as condoms or spermicide) should be used as back-up if the patient has sex within 7 days after missing tablets. We offer manypayment optionsto fit your needs. Do not give Portia to other people, even if they have the same symptoms that you have. Forgetting to take your pill raises the chance of getting pregnant. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4 percent and 15 to 20 percent, respectively. Oleh - December 4, 2021. Portia can cause some serious health issues. Some examples are chloasma (a condition that causes dark skin patches) and hereditary angioedema (episodes of severe swelling in your body). What else should I know about taking Portia? The most effective methods are at the top of the chart. The worst symptom I've had is EXTREME breast tenderness/enlargement. Look at your pill pack. Portia is super easy to use. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. Start using Portia on the day you would have started a new cycle (first patch application). Theyre fast, easy-to-use and free! The risk is greater among older women (> 35 years of age), smokers, and females with hypertension, dyslipidemia, diabetes, or obesity. While it might give you the munchies, its mostly water retention(and not actual fat) thats to blame. The problem will usually go away. Abortion is a reproductive right and a form of reproductive healthcare. Oral contraceptives (birth-control pills) are used to prevent pregnancy. Your chance of getting pregnant is higher if you don't take the medication as directed (e.g., missed or late doses). Some side effects may occur that usually do not need medical attention. Administer 4 or more hours apart to attenuate this drug interaction. Taking birth control pills, which usually contain the sex hormones estrogen and progestin (progesterone), can indeed lead to the development of "feminine" body traits, including breast growth . Instruct patients to take one tablet by mouth at the same time every day. I went from an A to a full C, pushing D. My mom legit thought I got a boob job because I didn't gain any weight and I'm also really petite so big boobs stand out like a sore thumb on me. If you're not currently taking another hormonal birth control, the two most common ways to start taking Portia are the Day 1 Start and the Sunday Start methods. In two clinical trials of Portia, one including 8186 reported treatment cycles, and the other including 1102 reported treatment cycles, amenorrhea occurred in 1.5% of treatment cycles in each trial. Diarrhea and/or vomiting may reduce hormone absorption (see DOSAGE AND ADMINISTRATION). If the patient has not adhered to the prescribed dosing schedule (missed one or two active tablets or started taking them on a day later than she should have), consider the possibility of pregnancy at the time of the first missed period and perform appropriate diagnostic measures. Portia is a combined hormonal birth control pill that's taken by mouth every day. But for some women who have special health problems, oral contraceptives can cause some unwanted effects. Portia is contraindicated in females who currently have or have had breast cancer because breast cancer may be hormonally sensitive [see CONTRAINDICATIONS (4)]. Certain medications can make Portia get broken down faster in your body, making it less effective (not work as well) and can lead to pregnancy. If you have high blood pressure or take blood pressure medications, this medication is NOT for you. Each white inert tablet contains the following inactive ingredients: anhydrous lactose, hypromellose, magnesium stearate, and microcrystalline cellulose. Advise females with a history of chloasma to avoid exposure to the sun or ultraviolet radiation while using Portia. Smoking cigarettes during the use of oral contraceptives has been found to greatly increase the chances of these serious side effects occurring. If your nausea does not go away, call your healthcare provider. In general: Portia (and its branded generics) comes in a 28-day pack. Portia (levonorgestrel and ethinyl estradiol tablets USP) is contraindicated in females who are known to have the following conditions: COCs increase the risk of cardiovascular events and cerebrovascular events, such as myocardial infarction and stroke. Concomitant use with ethinyl estradiol-containing COCs may increase systemic exposure of other drugs (e.g., cyclosporine, prednisolone, theophylline, tizanidine, and voriconazole). Pandia Health brings convenient expert telemedicine care and medication delivery to you from the comfort of your home or wherever you may be. Both hormones work together to prevent pregnancy by: Your medication might look different and have slightly different directions depending on which branded generic your provider prescribes. Some women may miss a period. Take the next pill at your regular time. Birth control pills that contain both estrogen and progesterone are most likely to affect your breasts. Portia is a combined contraceptive that contains two hormones: ethinyl estradiol (an estrogen) and levonorgestrel (a progestin). Portia has not been studied in postmenopausal women and is not indicated in this population. It prevents pregnancy by preventing ovulation, thinning the uterine lining, thickening the cervical mucus (blocking the sperm from getting to the egg). Use a non-hormonal birth control method (such as a condom or spermicide) as a back-up if you have sex during the first 7 days after you restart your pills. Breasts start developing in the female body during puberty, usually between the ages of eight and 13.This happens due to hormonal changes, especially estrogen and growth hormone. 1 tablet (0.15 mg levonorgestrel; 30 mcg ethinyl estradiol or 0.1 mg levonorgestrel; 20 mcg ethinyl estradiol) PO once daily for 21 days, then a period of 7 days without drug. Generic name: levonorgestrel and ethinyl estradiol Portia may interact with certain medications or supplements. Dosage. If you notice any other effects, check with your healthcare professional. If you are usually a 7 day person, it goes down to like 5 days. If you smoke, talk with your provider about safer birth control alternatives. We're here to make women's lives easier by providing a one-stop shop for recurring medications. Concomitant use of COCs with thyroid hormone replacement therapy or corticosteroid replacement therapy may increase systemic exposure of thyroid-binding and cortisol-binding globulin (see Warnings, EFFECT ON BINDING GLOBULINS). You do not need back-up contraception if you use the Day 1 Start. You may get pregnant if you do not take one pill daily. The ingredients in the film-coating include FD&C blue no. Portia differs from some other birth control pills that also contain levonorgestrel and ethinyl estradiol in the amount of hormones it contains and how often it causes you to have a period. ADVERSE REACTIONS, Postmarketing Experience. When we say low dose at Pandia Health we mean anything less than 30 mcg of estrogen which is NOT good for your bones if you are under the age of 30 years old. The device is a T-shaped plastic frame that's inserted into the uterus, where it releases a type of the hormone progestin. Know the medicines you take. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Portia and other COCs can raise your blood pressure. Based on results from a few studies, there is some evidence that this is true for non-oral products as well. Portia (levonorgestrel and ethinyl estradiol tablets USP) is indicated for use by females of reproductive potential to prevent pregnancy. It prevents pregnancy by preventing ovulation, thinning the uterine lining, thickening the cervical mucus (blocking the sperm from getting to the egg). Then continue to take 1 pill every day until you finish the pack. Discontinue Portia during prolonged immobilization. Certain blood tests may be affected by Portia. PORTIA 21. Call your provider right away if you experience symptoms of liver problems, such as tiredness, stomach pain, or yellowing of the skin or whites of the eyes. Roses are sold out, shelves are lined with boxes of chocolates and now all the plush teddy.. The rate of VTE in females using COCs has been estimated to be 3 to 9 cases per 10,000 woman-years. Do not use Portia if you smoke cigarettes and are over 35 years old. They also change the lining of the uterus (womb) to prevent pregnancy from developing and change the mucus at the . We recommend that you use at least 30mcg if you are under 30 years old. Keep taking 1 pill every day until Sunday. Minor ones include breast tenderness, headaches, nausea, swollen feet or ankles, and slightly elevated blood pressure or blood sugar levels. Portia (levonorgestrel and ethinyl estradiol tablets USP) is a combination oral contraceptive (COC) consisting of 21 pink active tablets, each containing 0.15 mg of levonorgestrel, USP, a synthetic progestin and 30 mcg of ethinyl estradiol, USP, an estrogen, and 7 white inert tablets (without hormones). Do not continue taking the pills from your previous birth control pill pack. Serious blood clots are more likely to happen when you: Call your healthcare provider or go to a hospital emergency room right away if you have: What are the most common side effects of oral contraceptives? Unless there is a specific reason you need the brand, the generic medication will be a better value. If you start taking Portia and you have not used a hormonal birth control method before: If you start taking Portia and you are switching from another birth control pill: If you start taking Portia and previously used a vaginal ring: If you start taking Portia and previously used a transdermal patch: If you start taking Portia and you are switching from a progestin-only method such as an implant or injection: If you start taking Portia and you are switching from an intrauterine device or system (IUD or IUS): Keep a calendar to track your period: If this is the first time you are taking birth control pills, read, When should I start taking Portia? above. Please take the medication as instructed by your provider. Portia, Levora, Kurvelo, Altavera, Marlissa, Estrogen / Progestin combined contraceptive. For most women, more problems occur because of pregnancy than will occur from taking oral contraceptives. The estrogen component of Portia may raise the serum concentrations of thyroxine-binding globulin, sex hormone-binding globulin, and cortisol-binding globulin. Decreased exposure of the estrogen and/or progestin component of COCs may potentially diminish the effectiveness of COCs and may lead to contraceptive failure or an increase in breakthrough bleeding. In these cases, your doctor may want to change the dose, or other precautions may be necessary. The box on the bottom of the chart shows the chance of getting pregnant for women who do not use birth control and are trying to get pregnant. If scheduled bleeding does not occur, consider the possibility of pregnancy. Keep a calendar to track your period: If this is the first time, levonorgestrel and ethinyl estradiol tablet, film coated. Equivalent generic brands: If you have vomiting or diarrhea or take certain medications, Portia might not work as well for you. Do not start until 4 weeks after delivery, due to the increased risk of thromboembolic disease. No insurance? The absolute risk of breast cancer associated with any hormonal contraceptive use was 13 per 100,000 women-years, which corresponds to 1 extra case of breast cancer . What are the possible serious side effects of Portia?